A client has been prescribed a leukotriene modifier. Which assessment finding would cause the nurse to question this prescription?
1. The client is 54 years old.
2. The client reports frequent foot cramps.
3. The client reports drinking two or three mixed alcohol drinks each day.
4. The client has chronic hepatitis C.
5. The client has a history of a CVA two years ago.
Correct Answer: 3,4
Rationale 1: The concern would be for persons over age 65 who may experience increased frequency of infections.
Rationale 2: There is no reason to avoid giving this medication to a client who has foot cramps.
Rationale 3: Chronic alcohol users may not tolerate these medications as they are extensively metabolized by the liver.
Rationale 4: Significant hepatic dysfunction is a contraindication to this medication as it is extensively metabolized by the liver.
Rationale 5: There is no contraindication for the use of this medication in a client with history of CVA.
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